AIM OF THE STUDY Conventional paper-based resuscitation transcripts are notoriously inaccurate often lacking the precision that is necessary for recording a fast-paced resuscitation. deliveries and other interventions. RESULTS During the study period 199 unique interventions were observed in the gold standard record. Of these 102 occurred during simulations recorded by the tablet application 78 by the paper code sheet and 19 during scenarios captured simultaneously by both documentation methods. These occurred over 18 simulated resuscitation scenarios in which 9 nurses participated. The tablet application had a mean sensitivity of 88.0% for all those interventions compared to 67.9% for the paper code sheet (= 0.001). The median time discrepancy was 3 s for the tablet and 77 s for the paper code sheet when compared to the gold standard (P<0.001). CONCLUSIONS Similar to prior studies we found that conventional paper-based documentation practices are inaccurate often misreporting intervention delivery occasions or Hdac8 missing their delivery entirely. However our study also demonstrated that a tablet-based documentation method may represent a means to substantially improve resuscitation documentation quality which could have implications for resuscitation quality improvement and research. = 0.001). The median time discrepancy was 3 s for the tablet application LY310762 LY310762 and 77 s for the paper code sheet (P<0.001). These differences were comparable when the three categories of interventions were analyzed individually (Table 1). The time discrepancy was greater than one minute for 2.9% of interventions recorded around the tablet compared to 68.7% of interventions recorded around the paper code sheet (P<0.001). No interventions recorded in the tablet application were off by more than 2 minutes compared to 29.7% of interventions recorded around the paper code sheet (P<0.001). Physique 2 shows the distribution of time discrepancies from the gold standard by documentation type across the course of a simulation. Physique 2 Accuracy of two methods used by nurses for documenting simulated cardiac arrest resuscitations TABLE Documentation method comparison for simulation scenarios All nine nurses completed the survey regarding documentation methods. When asked about future documentation method preference 8 of 9 indicated they would prefer to use the tablet application to document resuscitations while 1 of 9 would be content with either method. Nurses reported that this tablet application was “much better” (Likert score 1/5) for all those three steps of comparison which included accuracy of data input (IQR 1-1) velocity of documentation (IQR 1-1) and ease of use for reporting (IQR 1-2). DISCUSSION To our knowledge this study is the first to compare the conventional method for documenting in-hospital cardiac arrest to a computer-based alternative in live immersive resuscitation simulations. A study by Grigg et al. found that a tablet-based method for documenting pre-recorded resuscitations captured 24% more critical information than a conventional paper-based record.9 Their study however used pre-recorded resuscitation scenarios (rather than live scenarios) anesthesiology residents as recorders (rather than nurses) and a different tablet application. Our LY310762 findings add to these results indicating that a conventional paper code sheet is usually sub-optimal for the purpose of recording resuscitations both in terms LY310762 of missed interventions and in the accuracy of times recorded. Even when used by nurses with no training and limited prior exposure the tablet application captured a greater proportion of interventions delivered and was more accurate in documenting administration occasions across all types of interventions. Moreover users indicated high levels of satisfaction with the new documentation method displaying a strong preference to use the tablet application in the future. Studies of resuscitation documentation have exhibited that records of cardiac arrest often do not contain recommended time intervals such as time to first defibrillation.7 Furthermore such lapses in documentation have a meaningful impact LY310762 on resuscitation research quality and billing.2 Given that The Joint Commission rate has considered regulations to require steps of specific.